Association between blood pressure and acute phase stroke case fatality rate: a prospective cohort study

Abstract

There was a negative association between systolic blood pressure and case fatality ratio of acute phase stroke in ischemic stroke intensive care patients.

Hypertensive and Non-hypertensive Hospital Admission Blood Pressure Association with Cognitive Function in Stroke Patients

“…Elevated or decreased systolic blood pressure values in ischemic stroke patients may indicate the potential for unfavourable outcomes, as shown by the U or J graphs. 30,31,32 In contrast to ischemic stroke, no association was found between systolic pressure and the clinical status of patients with hemorrhagic stroke. 30 Other studies have suggested that maintaining systolic blood pressure below 140 mmHg in hemorrhagic stroke can lead to more favourable outcomes.…”

Perfil epidemiológico dos pacientes internados por acidente vascular cerebral no nordeste do Brasil

“…Se o indivíduo apresentar uma hipotensão arterial, e pode contribuir para que haja uma menor perfusão sanguínea em uma área isquêmica, gerando um aumento da área de acometimento do AVC. Assim, o ideal é que se obtenha um equilíbrio da pressão arterial (FURLAN NE, et al, 2018).…”

“…Segundo Abramczuk B e Villela E (2009), esse valor pode variar de acordo com a gravidade de cada caso.Em pacientes que conseguem recuperar completamente o déficit neurológico, necessita-se de um tempo curto de internação (3 a 5 dias), a um custo de aproximadamente R$ 640, já nos casos em que o paciente apresenta sequelas mais graves, o tempo de internação pode durar mais de um mês e o custo pode chegar a R$ 32 mil. 66 11,11 9,52 7,92 12,23 12,73 14,82 15,51 14,48 14,61 16,91 22,3 16,8 Feminino 12,5 9,68 6,17 12,88 11,11 10,37 11,78 14,4 14,34 15,34 18,01 23,23 17,7 Masculino Feminino REAS/EJCH | Vol.13(1) | e5155 | DOI: https://doi.org/10.25248/reas.e5155.2021 Página 7 Valor total das internações por sexo, segundo a faixa etária. Fonte: Barbosa AML, et al, 2020.…”

Acute stroke: low baseline blood pressure equals low seven-day life expectancy?

“…There have been few studies that have also shown increased mortality with low SBP at baseline showing a U-shaped curve of mortality with blood pressure 1,5 . These studies have been largely inclusive of minor and severe strokes and there is a paucity of research done to establish an association of mortality and acute blood pressure (BP) in high-risk patients.In this issue of the journal, Furlan et al 6 report the findings of their single center study among 146 acute stroke patients admitted to the intensive care unit, which examined relationships between BP obtained at presentation and at 48-hours, and the occurrence of early mortality (within seven days). Among the 101 ischemic patients, they observed that baseline systolic BP, baseline diastolic BP, 48-hour mean systolic BP, and 48-hour mean diastolic BP were all significantly lower in patients who died within seven days compared with survivors; and in multiple regression analysis, the 48-hour mean systolic BP remained significantly associated with odds of early mortality.…”

“…In this issue of the journal, Furlan et al 6 report the findings of their single center study among 146 acute stroke patients admitted to the intensive care unit, which examined relationships between BP obtained at presentation and at 48-hours, and the occurrence of early mortality (within seven days). Among the 101 ischemic patients, they observed that baseline systolic BP, baseline diastolic BP, 48-hour mean systolic BP, and 48-hour mean diastolic BP were all significantly lower in patients who died within seven days compared with survivors; and in multiple regression analysis, the 48-hour mean systolic BP remained significantly associated with odds of early mortality.…”